Andrius Romeika1, Artūras Smirnovas1
1 Lietuvos sveikatos mokslų universitetas, Medicinos fakultetas
Introduction: Cardiovascular diseases are the main reason of death in developed countries. Death rate of cardiovascular diseases are higher in Lithuania and Eastern Europe compared to European Union. More than half of deaths in our country are caused by complications of cardiovascular diseases. Nowadays the morbidity rate of cardiovascular diseases is increasing in young patients dramatically. Thus there is a huge importance of detecting the main risk factors and traits which are leading the manifestation of acute coronary syndrome in young patients.
Objective: To find out the risk factors of patients younger than 60 years who faced an acute coronary syndrome. Evaluate a relationship between the risk factor and damage quantity of arteries.
Methods: We analysed 75 patients younger than 60 years who have faced an acute coronary syndrome. Based on a clinical data and laboratory test we set the main risk factors. All the patients in this study have received a coronary angiography and echocardiogram. Data was analysed between. For all analyses, we used SPSS version 20.0.
Results: Early manifestation of ischemic heart disease is more common in men than woman. We found out that the main risk factors which led an early manifestation of acute coronary syndrome were arterial hypertension, overweight, dyslipidemia, smoking and family anamnesis of ischemic heart disease. After analysing coronary angiography data we found that patients who had damaged three arteries have dominated. Patients with dyslipidemia had more arteries damaged 2,6 ± 0,6 , than those who normal values in lipid panel 2,3 ± 0,8 , p=0,02. Patients with a single coronary artery damage had lower BMI (body mass index).
Conclusions: Acute coronary syndrome are more common in men with risk factors like arterial hypertension, overweight, dyslipidemia, smoking and family anamnesis of ischemic heart disease. The most damaged arteries were in patients who had lipid disorders and who were overweight.
Keywords: acute coronary syndrome, risk factors, younger age.